Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri State Community Clinic, LLC

Organization Family Medicine Physician · NPI 1104317346

Tri State Community Clinic, LLC is a Family Medicine Physician in Evansville, Indiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1033 E Mt Pleasant Rd Ste D
Evansville, IN 47725
Phone: (888) 492-8722
Fax: (812) 491-0333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104317346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Perkins — Cmo · (888) 492-8722
NPI enumeratedMay 23, 2018
Last updated in NPPESMay 23, 2018
Mailing address1033 E Mt. Pleasant Rd., Ste. D, Evansville, IN 47725

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